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Primary Inoculation Tuberculosis and Erythema Nodosum. Presented by Dr. Leon Babalian and (by invitation) Dr. Joseph Porter and Dr. Gisela Davidson.
B. C., a 19-year-old white student nurse, pricked her right palm with a needle which had been used for aspiration of a tuberculous abscess. The lesion produced by the injury healed within a few days. Three weeks after the injury, redness and swelling, followed by oozing, appeared at the site of the injury, and tender enlarged lymph nodes appeared in the right epitrochlear area. Within a few days fever appeared, and it continued to appear each evening for two months. Two months after the injury, an eruption consisting of erythematous tender areas appeared on the anterior aspect of the legs, the chest, and the back.
Repeated chest x-rays, both before and after the accident, were negative. A tuberculin patch test was negative before the accident and became positive two
Ryan M, Goodman J. NEW ENGLAND DERMATOLOGICAL SOCIETY. AMA Arch Derm Syphilol. 1953;68(3):349–351. doi:10.1001/archderm.1953.01540090111020
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